Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02064 | Date 27/06/2022 |
| Token No | SM/25-26/1483 03/05/2025 | Serial | 020 |
| Patient Name | Mrs. BULA SHIL | Contact No | 9143064981 |
| Address | 165C M J ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 24 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | 100/70 mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||